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Gadobutrol

Phase 2

Known or Highly Suspected Central Nervous System (CNS) Lesion | Small molecule | Other |GE HealthCare Technologies Inc.|Last Updated: May 18, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment640
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07472491A Phase 2/3 Study on the Efficacy and Safety of Mangaciclanol for Contrast-Enhanced MRI of CNS or Body in Adult PatientsPHASE2 RECRUITING 640Apr 1, 2026Nov 30, 2027May 18, 20265 United States, Georgia +1
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Study Endpoints
Primary Endpoints
Phase 2 Primary Endpoint - Overall diagnostic preference
4-47 days

Overall diagnostic preference based on global matched pairs reads according to a 3-point scale that is derived from a 5-point scale (1 = greatly prefer mangaciclanol/prefer mangaciclanol, 0 = no preference, -1 = prefer gadobutrol/greatly prefer gadobutrol), as evaluated by 3 blinded independent readers.

Phase 3 Primary Endpoint - Lesion visualization criteria
4-74 days

Lesion visualization criteria (lesion border delineation, internal morphology and degree of lesion contrast enhancement) for paired (unenhanced plus mangaciclanol-enhanced) MRIs compared to unenhanced MRI based on the primary reads on a 4-point scale (1 = poor / none; 2 = moderate; 3 = good; 4 = excellent) for up to 3 of the most representative lesions.

Secondary Endpoints
Phase 2 Secondary Endpoint - Lesion visualization criteria
4-47 days
Phase 2 Secondary Endpoint - Number of lesions
4-47 days
Phase 2 Secondary Endpoint - Technical adequacy of images for diagnosis
4-47 days
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeDIAGNOSTIC
Treatment Arms
ArmTypeDescription
Phase 2ACTIVE_COMPARATORAn initial dose of 0.1 mmol/kg mangaciclanol will be compared to the standard dose of gadobutrol (0.1 mmol/kg) in Cohort 1, in approximately 60 participants. A second cohort (Cohort 2) may be initiated based on the outcome of the analysis of Cohort 1. This cohort will include approximately 60 participants (higher or lower dose), or 30 participants (same dose), depending on the dose of mangaciclanol selected for further evaluation.
Phase 3 mangaciclanol-gadobutrolACTIVE_COMPARATORParticipants with known or highly suspected lesions of CNS or body, randomized to receive treatment sequence mangaciclanol (V2) followed by gadobutrol (V4)
Phase 3 gadobutrol-mangaciclanolACTIVE_COMPARATORParticipants with known or highly suspected lesions of CNS or body, randomized to receive treatment sequence gadobutrol (V2) followed by mangaciclanol (V4)
Interventions
NameTypeDescription
Mangaciclanol, also known as GEH200486 Injection, 0.5 mmol/mLDRUGSingle intravenous (IV) administration of Mangaciclanol (GEH200486 Injection, 0.5 mmol/mL) followed by a 20mL saline flush
MRI ScanDIAGNOSTIC_TESTMRI Scan starting prior to IMP administration and continuing for up to 60 minutes post IMP administration
GadobutrolDRUGSingle intravenous (IV) administration of Gadobutrol (0.1 mmol/kg) followed by a 20mL saline flush
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * The participant is of legal majority age, as defined by local laws and regulations at the time of signing the ICF. * The participant is able and willing to comply with study procedures as described in the protocol. * The participant has read, understood, signed and dated the I...

Countries:United StatesGeorgiaMoldova
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT07472491Status: NOT_YET_RECRUITING → RECRUITING
LOWMay 24, 2026NCT07472491studyFirstPostDate: changed